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Key Facts: EBOD Exam

60 questions

EBOD Part I has 30 multiple true/false MCQs plus 30 single best answer questions

EBO - Structure of Examination

2 hours

EBOD Part I lasts 2 hours, or 2.5 hours if onsite paper answer sheets are needed

EBO - Structure of Examination

8 cases

EBOD Part II uses 8 standardised clinical cases in 4 stations

EBO - Structure of Examination

40 / 60

EBOD weights the MCQ part 40 percent and the clinical cases 60 percent

EBO - Structure of Examination

Score 6

EBOD candidates must score at least 6 in Part I and at least 6 overall

EBO - Structure of Examination

No negative marking

EBOD Part I scores 1 point per correct answer and 0 for incorrect or blank answers

EBO - Structure of Examination

EUR 600

The fee to sit the EBOD examination is EUR 600 and is not refundable

EBO - Fee Payment

About 90%

EBO states the EBOD pass rate has been stable at around 90 percent

EBO - EBOD Exams

The European Board of Ophthalmology Diploma (EBOD) is the EBO's comprehensive ophthalmology examination, delivered in English. Part I has 30 traditional multiple true/false MCQs and 30 single best answer questions in 2 hours with no negative marking; Part II covers 8 standardised clinical cases in 4 stations (60 minutes onsite, 80 minutes online). Candidates must score at least 6 in Part I and overall, with the MCQ weighted 40% and the clinical cases 60%. The fee is EUR 600. The 2026 sittings are 8 May (in person, Paris) and 16 October (online); EBO has announced 14 May 2027 (online) and 1 October 2027 (in person, Berlin). Successful candidates who meet the diploma requirements may use the FEBO title.

Sample EBOD Practice Questions

Try these sample questions to review concepts for the EBOD exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 181+ question experience with AI tutoring.

1A patient has painful necrotising scleritis, recurrent bloody nasal crusting, pulmonary nodules, microscopic haematuria, and positive PR3-ANCA. Which systemic disorder best unifies the findings?
A.Sarcoidosis
B.Granulomatosis with polyangiitis
C.Primary Sjogren disease
D.Giant cell arteritis
Explanation: This combination suggests granulomatosis with polyangiitis, an ANCA-associated vasculitis involving the upper respiratory tract, lungs, kidneys, and sometimes the eye. PR3-ANCA supports the clinical assessment but is not a stand-alone diagnosis. Urgent systemic evaluation is needed when renal or sight-threatening disease is suspected.
2A woman with persistent aqueous-deficient dry eye also reports difficulty swallowing dry food, increased dental caries, and recurrent parotid swelling. Which systemic disease should be investigated?
A.Myasthenia gravis
B.Graves orbitopathy
C.Axial spondyloarthritis
D.Sjogren disease
Explanation: Combined lacrimal and salivary dysfunction suggests Sjogren disease. Assessment integrates symptoms, ocular and salivary gland tests, and evidence of autoimmunity; no single test alone establishes every case.
3An adult has confirmed ocular syphilis with panuveitis and reactive treponemal and nontreponemal serology. Neurological examination is normal. Which treatment principle is correct?
A.Use a neurosyphilis antibiotic regimen even if CSF testing is normal or not required
B.Use a single benzathine penicillin injection as sufficient treatment of the ocular disease
C.Use topical corticosteroid alone because systemic neurological signs are absent
D.Withhold antibiotics until a lumbar puncture demonstrates an abnormal CSF result
Explanation: Ocular syphilis is treated with a neurosyphilis regimen in collaboration with ophthalmology and infection specialists. Confirmed isolated ocular disease with no neurological or cranial nerve abnormality does not require CSF testing before treatment. HIV testing is also indicated.
4Adalimumab is being considered for persistent non-infectious uveitis. Which pre-treatment safety assessment is particularly important because TNF inhibition can reactivate infection?
A.Measure corneal curvature to exclude regular astigmatism
B.Test colour vision as the sole screen for systemic infection
C.Evaluate for active and latent tuberculosis and address infection before treatment
D.Use normal visual acuity to exclude any need for infection screening
Explanation: TNF inhibition increases the risk of serious infection, including tuberculosis. Evaluate for active and latent TB before treatment and manage any infection according to specialist guidance. A negative initial test does not eliminate the need for ongoing vigilance.
5A patient receiving ethambutol for tuberculosis develops bilateral painless central visual loss and reduced colour discrimination. What is the appropriate immediate medication-related response?
A.Increase ethambutol because bilateral symptoms indicate insufficient antimicrobial dosing
B.Continue unchanged until optic disc pallor confirms irreversible injury
C.Stop ethambutol and urgently coordinate ophthalmic assessment and an alternative TB regimen
D.Add topical antibiotic drops while continuing the same systemic treatment
Explanation: Ethambutol can cause toxic optic neuropathy with visual loss, scotomas, and dyschromatopsia. Stop the suspected causative drug promptly and coordinate with the treating TB team so effective tuberculosis therapy continues safely. A normal-looking optic disc does not exclude early toxicity.
6A child with retinoblastoma has a pathogenic germline RB1 variant. Which counseling statement is correct?
A.Heritable disease can be unilateral or bilateral and warrants specialist genetic counseling
B.A unilateral tumour excludes heritable disease even when a germline variant is identified
C.A germline RB1 variant is relevant only to the affected eye and has no family implications
D.Heritable retinoblastoma requires an affected parent in every case
Explanation: A germline pathogenic RB1 variant establishes a heritable predisposition. It can arise de novo and can produce unilateral or bilateral disease. Genetic counseling and appropriate surveillance are important for the child and potentially affected relatives.
7Minutes after pollen exposure, a patient develops bilateral itchy eyes with chemosis and tearing. Which immune mechanism primarily drives the immediate phase of allergic conjunctivitis?
A.Immune-complex deposition in conjunctival vessel walls
B.Direct cytotoxic T-cell destruction of conjunctival epithelium
C.Autoantibodies directed against the epithelial basement membrane
D.Allergen cross-linking of mast-cell-bound IgE with mediator release
Explanation: The immediate allergic response is a type I hypersensitivity reaction: allergen cross-links IgE on mast cells and triggers release of histamine and other mediators. Delayed inflammatory pathways may also contribute to persistent allergic eye disease.
8A -10.00 D spectacle correction is worn at a 12 mm vertex distance. Which contact lens power gives approximately the same paraxial far-point correction at the corneal plane?
A.-10.00 D
B.-9.00 D
C.-11.25 D
D.-8.00 D
Explanation: Moving a high minus lens from the spectacle plane to the corneal plane requires less minus power. Using Fcl = Fspec / (1 - dFspec) with d = 0.012 m gives -10.00 / 1.12 = -8.93 D, approximately -9.00 D.
9Which prescription is the correct plus-cylinder transposition of +1.50 -2.75 x 180?
A.+1.50 +2.75 x 090
B.-1.25 +2.75 x 090
C.-1.25 +2.75 x 180
D.+4.25 -2.75 x 090
Explanation: To transpose, add the cylinder to the sphere, change the cylinder sign, and rotate the axis by 90 degrees. +1.50 -2.75 x 180 becomes -1.25 +2.75 x 090.
10The optical centre of a +5.00 D spectacle lens is positioned 4 mm temporal to the patient's pupil. What prism is induced before the eye?
A.2 prism dioptres base nasal
B.20 prism dioptres base temporal
C.0.8 prism dioptres base nasal
D.2 prism dioptres base temporal
Explanation: Prentice's rule is prism dioptres = decentration in cm x lens power in dioptres. Here 0.4 cm x 5.00 D = 2 prism dioptres. For a plus lens, the prism base is in the same direction as the optical centre relative to the line of sight; with the optical centre temporal to the pupil, the induced prism is base temporal.

About the EBOD Exam

The European Board of Ophthalmology Diploma assesses ophthalmology knowledge and clinical skills to support harmonised standards across Europe. Successful candidates who meet diploma requirements may use the Fellow of the European Board of Ophthalmology title.

Exam sponsor: European Board of Ophthalmology. The requirements and fees below concern the certification or admission exam, separate from our free practice resources.

Assessment

EBOD is a comprehensive ophthalmology diploma examination in English. From the May 2024 update, Part I has 30 traditional EBO multiple true/false MCQs and 30 Single Best Answer questions. Part II uses standardised Viva Voce or online Clinical Cases: onsite delivery covers 8 cases in 4 stations, while online delivery uses typed clinical cases.

Time Limit

Part I lasts 2 hours, or 2.5 hours only if an onsite technical problem requires paper answer sheets. Part II lasts 60 minutes onsite for 8 cases in 4 stations or 80 minutes online for typed clinical cases.

Passing Score

Candidates must score 6 or greater in Part I to pass. Scores are rescaled so that the cohort mean minus one standard deviation is assigned a 6. The final algorithm gives 40% weight to MCQ and 60% to four clinical-case stations; the overall result must be 6 or greater. One clinical station may be below 6 only if the MCQ score and overall score are both above 6.

Exam / Certification Fees

EUR 600 EBOD examination fee.

Exam sponsor website

Reported exam pass rate: EBO states that the EBOD pass rate has been stable over the past years at around 90 percent.. This describes exam candidates, not OpenExamPrep users or results from using our resources. Exam sponsor website

Fees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.

Our practice resources: topics covered

We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.

Format

Part I MCQ/SBA and Part II Clinical Cases

Thirty traditional multiple true/false MCQs, thirty SBA questions, then standardised Viva Voce or online Clinical Cases.

Eligibility

Specialist or Final-Year Resident Route

Certified specialists and final-year residents in eligible countries apply through EBO with National Delegate and, for residents, Head of Department confirmation.

Scoring

Score 6 Thresholds and 40/60 Weighting

Mandatory Part I score of at least 6, 40% MCQ and 60% clinical-case weighting, overall score of at least 6, and limited allowance for one clinical station below 6.

Clinical

Comprehensive Ophthalmology Syllabus

Optics, refraction, strabismus, cornea, glaucoma, cataract, retina, uveitis, neuro-ophthalmology, orbit, adnexa, general medicine, pathology, microbiology, immunology, pharmacology, and therapeutics.

Professional

Online Proctoring, Diploma, and FEBO Title

English-only exam, closed-book remote proctoring for online exams, no unauthorised materials or content capture, and FEBO title after successful diploma requirements.

Preparing for the EBOD Exam

What You Need to Know

  • Passing score: Candidates must score 6 or greater in Part I to pass. Scores are rescaled so that the cohort mean minus one standard deviation is assigned a 6. The final algorithm gives 40% weight to MCQ and 60% to four clinical-case stations; the overall result must be 6 or greater. One clinical station may be below 6 only if the MCQ score and overall score are both above 6.
  • Assessment: EBOD is a comprehensive ophthalmology diploma examination in English. From the May 2024 update, Part I has 30 traditional EBO multiple true/false MCQs and 30 Single Best Answer questions. Part II uses standardised Viva Voce or online Clinical Cases: onsite delivery covers 8 cases in 4 stations, while online delivery uses typed clinical cases.
  • Time limit: Part I lasts 2 hours, or 2.5 hours only if an onsite technical problem requires paper answer sheets. Part II lasts 60 minutes onsite for 8 cases in 4 stations or 80 minutes online for typed clinical cases.
  • Exam / certification fees: EUR 600 EBOD examination fee. Official sources

Using Our Practice Resources

  • Work through all 181 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

EBOD: Suggested Study Strategy

1Prepare separately for true/false judgement and single-best-answer reasoning; Part I includes both formats and has no negative marking.
2Practise concise case presentations for the eight Part II clinical cases: diagnosis, differentials, urgent risks, investigations, management, prognosis, and counselling.
3Cover all EBO syllabus fields rather than over-specialising, because the exam is comprehensive and permits only limited weakness in one clinical station.
4For online sittings, test the device, webcam, audio, Chrome setup, internet connection, and quiet room in advance; the online exam is remotely proctored and closed book.
5Remember the diploma sequence: FEBO title use depends on passing EBOD and meeting the appropriate specialist or resident diploma requirements.

Frequently Asked Questions

What is EBOD?

EBOD is the European Board of Ophthalmology Diploma, a comprehensive EBO examination designed to assess ophthalmology knowledge and clinical skills and support harmonised European standards.

What is the current EBOD Part I format?

EBO states that Part I consists of 30 traditional multiple true/false MCQs and 30 Single Best Answer questions. The duration is 2 hours and there is no negative marking.

What is the EBOD Part II format?

Part II uses standardised clinical cases. Onsite delivery is a 60-minute Viva Voce covering 8 cases in 4 stations. Online delivery uses typed clinical cases and lasts 80 minutes.

Who is eligible for EBOD?

Certified specialists in ophthalmology in eligible countries may apply, and final-year residents in eligible countries may apply with Head of Department and National Delegate confirmation. Country-specific rules apply.

How is EBOD scored?

Candidates must score at least 6 in Part I. The overall result weights MCQ at 40% and the four clinical-case stations at 15% each. The overall score must be at least 6, with only a limited exception for one clinical station below 6.

How is the EBOD score of 6 set?

There is no fixed percentage cut-off. EBO rescales scores so that the cohort mean minus one standard deviation is assigned a 6, and candidates need at least 6 in Part I and at least 6 overall to pass.

Does passing EBOD automatically grant national specialist status?

No. EBO states the exam is voluntary in most EU countries, though some countries use or recognise it in national assessment. Resident candidates receive the diploma only after national specialist registration documentation is completed.

When are the next EBOD sittings?

EBO has announced an online spring exam on 14 May 2027, with applications open from 1 October to 15 December 2026 at 18:00 CET, and an in-person autumn exam in Berlin on 1 October 2027, with applications open from 15 March 2027 until capacity is reached or 31 May 2027.